Dentrust Oklahoma, PC

General Practice Dentistry · Tinker Afb, OK

Organization Active NPI

NPI number 1407560535

Practice location

3360 N Ave Bldg 685
Tinker Afb, OK 73145-9028
Phone
(267) 927-5000
Fax
(267) 927-5001

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NPI record

NPI
1407560535
Entity type
Organization (Type 2)
Enumeration date
January 12, 2023
Last updated
January 12, 2023
Certified
January 12, 2023
Organization subpart
Yes
Parent organization
Dentrust Oklahoma, PC

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Authorized official

Name
Amanda Clark
Title
Director of Credentialing
Phone
(267) 362-5938

Other names

  • Dentrust Dental PA
  • DOCS Dental Tinker AFB

About Dentrust Oklahoma, PC

Dentrust Oklahoma, PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3360 N Ave Bldg 685, Tinker Afb, OK 73145-9028. The NPI number 1407560535 was assigned on January 12, 2023 and the record was last updated on January 12, 2023.

The authorized official for this organization is Amanda Clark, Director of Credentialing.

Frequently asked questions

What is the NPI number of Dentrust Oklahoma, PC?

The NPI number is 1407560535.

What is the phone number of Dentrust Oklahoma, PC?

The phone number listed for the practice location is (267) 927-5000.

Where is Dentrust Oklahoma, PC located?

3360 N Ave Bldg 685, Tinker Afb, OK 73145-9028.

What is the taxonomy code for Dentrust Oklahoma, PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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